OBJECTIVE: To retrieve the origin of the term neuropsychomotor developmental delay" (NPMD), its conceptual evolution over time, and to build a conceptual map based on literature review. DATA SOURCE: A literature search was performed in the SciELO Brazil, Web of Science, Science Direct, OneFile (GALE), Pubmed (Medline), Whiley Online, and Springer databases, from January of 1940 to January of 2013, using the following keywords: NPMD delay, NPMD retardation, developmental delay, and global developmental delay. A total of 71 articles were selected, which were used to build the conceptual map of the term. DATA SYNTHESIS: Of the 71 references, 55 were international and 16 national. The terms developmental delay and global developmental delay were the most frequently used in the international literature and, in Brazil, delayed NPMD was the most often used. The term developmental delay emerged in the mid 1940s, gaining momentum in the 1990s. In Brazil, the term delayed NPMD started to be used in the 1980s, and has been frequently cited and published in the literature. Delayed development was a characteristic of 13 morbidities described in 23 references. Regarding the type of use, 19 references were found, with seven forms of use. Among the references, 34 had definitions of the term, and 16 different concepts were identified. CONCLUSIONS: Developmental delay is addressed in the international and national literature under different names, various applications, and heterogeneous concepts. Internationally, ways to improve communication between professionals have been indicated, with standardized definition of the term and use in very specific situations up to the fifth year of life, which was not found in Brazilian publications.

Rev. Bras. Saúde Matern. Infant., Recife, 11 (4)

OBJETIVO: Verificar o uso de prótese de membro inferior e o retorno ao trabalho em amputados por acidentes de transporte (AT). MÉTODO: Estudo de série de casos por meio de uma entrevista, com amputados por AT, cadastrados no período de dezembro de 2002 a dezembro de 2004, após a alta da reabilitação na AACD/MG. A amostra foi composta por 26 amputados, 22 homens e quatro mulheres, com média de idade de 37,7 anos. Quinze amputações eram transfemorais e 11 transtibiais. Dezoito (69,2%) pessoas tinham grau de instrução fundamental. RESULTADOS: Todos os amputados receberam a prótese e 16 (61,5%) deles, relataram utilizá-la para passeio. Todos os indivíduos permaneceram afastados do trabalho após o acidente, sendo que 16 (66,7%) afastaram pelo INSS, seis (25%) aposentaram por invalidez e dois (8,3%) por idade. Cinco das pessoas afastadas pelo INSS retornaram ao trabalho e três aposentadas por invalidez e uma por idade, declararam que praticam atividade para suplementar à aposentadoria. CONCLUSÃO: O uso da prótese é comumente para passeio e é baixa a taxa de retorno ao trabalho após a reabilitação.. O baixo nível de instrução e qualificação podem ter sido responsáveis por estes resultados.

Introduction: Technological advances in neonatal care have led to increased survival of preterm newborns. This increase has raised concern about the development of these babies and generated interest among researchers to investigate the neuropsychomotor development of children born prematurely. Objective: To review the Brazilian literature to identify the main instruments used to evaluate the development of children born preterm in the first three years of life. Methodology: A literature search, from 1999 to 2011, was conducted in the Lilacs and Scielo databases. Results: Eleven developmental assessments were identified, and among the 24 articles selected for this review, most of them (11, 45.83%) used the Alberta Infant Motor Scale (AIMS) (6, 54.5%) and the Developmental Screening test Denver II (DDR II) (5, 45.5%). Conclusion: There is predominance of the use of norm-referenced instruments created in other countries, with no validation studies for the Brazilian children. This review indicates a need for more research focused on the translation and validation of international assessment tools as well as instruments developed in Brazil.

Examinar e sintetizar o conhecimento disponível na literatura sobre os instrumentos utilizados na perspectiva da funcionalidade em crianças com paralisia cerebral (PC). Método: A busca dos artigos foi realizada nas bases de dados eletrônicos Google Scholar, PubMed, Lilacs e Medline, publicados no período de janeiro de 2006 a dezembro de 2012, usando as palavras-chave: paralisia cerebral (cerebral palsy), criança (child), avaliação (assessment), combinada com Classificação Internacional da Funcionalidade-CIF (ICF). A busca limitou aos artigos originais escritos em português e inglês. Dez artigos foram selecionados para análise da revisão, de acordo com os critérios preestabelecidos. Resultados: Os autores propuseram instrumentos que poderiam padronizar a avaliação para classificação dos componentes "Estrutura e função do corpo", "Atividades e Participação" e "Fatores ambientais", como Gross Motor Function Measure (GMFM), o Pediatric Evaluation of Disability Inventory (PEDI), o Goal Attainment Scaling (GAS), o Manual Ability Classification System (MACS), o The Gross Motor Function Classification System (GMFCS), o Physicians Rating Scale (PRS), o Vineland Adaptive Behavior Scale (VABS), o

Children with DD have persistent difficulties at school age, with motor deficit, restrictions in school activity performance and low participation in the school context, as well as significantly lower functional performance when compared to children without DD. A systematic monitoring of this population is recommended to identify needs and minimize future problems.

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Objective:To compare the functional performance of students diagnosed with developmental delay (DD) up to two years of age with peers exhibiting typical development.Methods:Cross-sectional study with functional performance assessment of children diagnosed with DD up to two years of age compared to those with typical development at seven to eight years of age. Each group consisted of 45 children, selected by non-random sampling, evaluated for motor skills, quality of home environment, school participation and performance. ANOVA and the Binomial test for two proportions were used to assess differences between groups.Results:The group with DD had lower motor skills when compared to the typical group. While 66.7% of children in the typical group showed adequate school participation, receiving aid in cognitive and behavioral tasks similar to that offered to other children at the same level, only 22.2% of children with DD showed the same performance. Although 53.3% of the children with DD achieved an academic performance expected for the school level, there were limitations in some activities. Only two indicators of family environment, diversity and activities with parents at home, showed statistically significant difference between the groups, with advantage being shown for the typical group.Conclusions:Children with DD have persistent difficulties at school age, with motor deficit, restrictions in school activity performance and low participation in the school context, as well as significantly lower functional performance when compared to children without DD. A systematic monitoring of this population is recommended to identify needs and minimize future problems.